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I was just going to sit back and watch this discussion go
on. But after a few days I decided to jump in as they say.
First of all I do think you need to separate the issue and
look at two components. I always think there is the procedural component
and the assessment component. I still believe that you can teach anybody
(even a monkey) to do procedural skills. I don't a professionally trained
provider. I mean anyone. With enough training anyone can intubate,
put in central lines, distinguish heart patterns, place IO etc. Those
things really don't take rocket science. It is about learning landmarks,
and then practice and currency.
The second and bigger issue is Assessment of your patient and
when to do those procedures. Now can anyone be taught to assess. I
am sure if you are smart enough anyone can be taught to assess the things that
are important for any type of transport no matter what is behind your name if
you carry the right IQ and if your in this business in the first place you
probably do.
I happen to carry a very High IQ (not bragging just stating a
fact) I am sure if I went to a few more classes, read a bit more on areas that I
am not familiar with I could be a physician, as it is many times I am directing
physicians in care anyway after all isn't that part of our job?
We don't fly RRT (unless it is a nitric run) but we run all
the ventilators on NICU runs but I am sure that again a year of study etc I
could be a RRT.
Anyway what I am trying to get at is that all of our jobs have
pieces of others jobs in it. The point being the law and state regulatory
boards usually regulates what each body does or doesn't do. Doesn't have
anything to do with who should, who could, who is smarter or anything. So
to the argument I always say. If you want to do Doctor things, go back to
school and be a doctor, If you want to be a nurse go back to school
Etc. I know it sounds like a scape goat but the system does and has worked
and we all compliment each other. We all bring something to the table and
to the transport environment. I have know many a nursing assistants that
have worked in many a unit that were smarter than many a residents that came
through and a lot of time saved patients buts by alerting nurses saying you
better stop him because......... but that still doesn't give that person
the license no the authority to be apart of the team because of the law.
The person was the acceptation rather than the rule and this usually is the
case
To the original question. I think orientation really
needs to be structured to the individuals learning needs. I would thing
that people would need classes in flight physiology, aircraft safety and
orientation, radio communication, ditching, etc, and then look at their
experience and go from their. Some of our people are done in a week, some
take longer. All really depends....
As far as qualifications when do NICU people make the time I
can't answer this as we have separate teams at a hospital and they are
independent of us.
(reading back now it sounds a little confusing. Sorry
about this. I just whelped a litter of puppies so am a bit
tired)
David Steele
email dsteele1@mn.rr.com Vizsla - Dogs - David/Sean Pages http://home.mn.rr.com/davidasteele1
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